<%
' FP_ASP ASP Automatically generated by a Frontpage Component. Do not Edit.

On Error Resume Next
Session("FP_OldCodePage") = Session.CodePage
Session("FP_OldLCID") = Session.LCID
Session.CodePage = 1252
Err.Clear

strErrorUrl = "sorry.htm"

If Request.ServerVariables("REQUEST_METHOD") = "POST" Then
If Request.Form("VTI-GROUP") = "0" Then
	Err.Clear

	Set fp_conn =  Server.CreateObject("ADODB.Connection")
	FP_DumpError strErrorUrl, "Cannot create connection"

	Set fp_rs = Server.CreateObject("ADODB.Recordset")
	FP_DumpError strErrorUrl, "Cannot create record set"

	fp_conn.Open Application("index_ConnectionString")
	FP_DumpError strErrorUrl, "Cannot open database"

	fp_rs.Open "Results", fp_conn, 1, 3, 2 ' adOpenKeySet, adLockOptimistic, adCmdTable
	FP_DumpError strErrorUrl, "Cannot open record set"

	fp_rs.AddNew
	FP_DumpError strErrorUrl, "Cannot add new record set to the database"
	Dim arFormFields0(123)
	Dim arFormDBFields0(123)
	Dim arFormValues0(123)

	arFormFields0(0) = "SocLing"
	arFormDBFields0(0) = "SocLing"
	arFormValues0(0) = Request("SocLing")
	arFormFields0(1) = "Affil"
	arFormDBFields0(1) = "Affil"
	arFormValues0(1) = Request("Affil")
	arFormFields0(2) = "ALLA"
	arFormDBFields0(2) = "ALLA"
	arFormValues0(2) = Request("ALLA")
	arFormFields0(3) = "PSG"
	arFormDBFields0(3) = "PSG"
	arFormValues0(3) = Request("PSG")
	arFormFields0(4) = "Source5"
	arFormDBFields0(4) = "Source5"
	arFormValues0(4) = Request("Source5")
	arFormFields0(5) = "PubYr4"
	arFormDBFields0(5) = "PubYr4"
	arFormValues0(5) = Request("PubYr4")
	arFormFields0(6) = "Pharm"
	arFormDBFields0(6) = "Pharm"
	arFormValues0(6) = Request("Pharm")
	arFormFields0(7) = "Work"
	arFormDBFields0(7) = "Work"
	arFormValues0(7) = Request("Work")
	arFormFields0(8) = "Europe"
	arFormDBFields0(8) = "Europe"
	arFormValues0(8) = Request("Europe")
	arFormFields0(9) = "Museum"
	arFormDBFields0(9) = "Museum"
	arFormValues0(9) = Request("Museum")
	arFormFields0(10) = "PubYr5"
	arFormDBFields0(10) = "PubYr5"
	arFormValues0(10) = Request("PubYr5")
	arFormFields0(11) = "Global"
	arFormDBFields0(11) = "Global"
	arFormValues0(11) = Request("Global")
	arFormFields0(12) = "Add1"
	arFormDBFields0(12) = "Add1"
	arFormValues0(12) = Request("Add1")
	arFormFields0(13) = "UNTGlobal"
	arFormDBFields0(13) = "UNTGlobal"
	arFormValues0(13) = Request("UNTGlobal")
	arFormFields0(14) = "SLACA"
	arFormDBFields0(14) = "SLACA"
	arFormValues0(14) = Request("SLACA")
	arFormFields0(15) = "CNutrition"
	arFormDBFields0(15) = "CNutrition"
	arFormValues0(15) = Request("CNutrition")
	arFormFields0(16) = "Infect"
	arFormDBFields0(16) = "Infect"
	arFormValues0(16) = Request("Infect")
	arFormFields0(17) = "Professions"
	arFormDBFields0(17) = "Professions"
	arFormValues0(17) = Request("Professions")
	arFormFields0(18) = "Healing"
	arFormDBFields0(18) = "Healing"
	arFormValues0(18) = Request("Healing")
	arFormFields0(19) = "Add2"
	arFormDBFields0(19) = "Add2"
	arFormValues0(19) = Request("Add2")
	arFormFields0(20) = "LName"
	arFormDBFields0(20) = "LName"
	arFormValues0(20) = Request("LName")
	arFormFields0(21) = "SMA"
	arFormDBFields0(21) = "SMA"
	arFormValues0(21) = Request("SMA")
	arFormFields0(22) = "Arch"
	arFormDBFields0(22) = "Arch"
	arFormValues0(22) = Request("Arch")
	arFormFields0(23) = "CAMA"
	arFormDBFields0(23) = "CAMA"
	arFormValues0(23) = Request("CAMA")
	arFormFields0(24) = "Author1"
	arFormDBFields0(24) = "Author1"
	arFormValues0(24) = Request("Author1")
	arFormFields0(25) = "Disability"
	arFormDBFields0(25) = "Disability"
	arFormValues0(25) = Request("Disability")
	arFormFields0(26) = "AltMed"
	arFormDBFields0(26) = "AltMed"
	arFormValues0(26) = Request("AltMed")
	arFormFields0(27) = "MName"
	arFormDBFields0(27) = "MName"
	arFormValues0(27) = Request("MName")
	arFormFields0(28) = "SLGA"
	arFormDBFields0(28) = "SLGA"
	arFormValues0(28) = Request("SLGA")
	arFormFields0(29) = "Agriculture"
	arFormDBFields0(29) = "Agriculture"
	arFormValues0(29) = Request("Agriculture")
	arFormFields0(30) = "APLA"
	arFormDBFields0(30) = "APLA"
	arFormValues0(30) = Request("APLA")
	arFormFields0(31) = "MASA"
	arFormDBFields0(31) = "MASA"
	arFormValues0(31) = Request("MASA")
	arFormFields0(32) = "Author2"
	arFormDBFields0(32) = "Author2"
	arFormValues0(32) = Request("Author2")
	arFormFields0(33) = "SexH"
	arFormDBFields0(33) = "SexH"
	arFormValues0(33) = Request("SexH")
	arFormFields0(34) = "HCare"
	arFormDBFields0(34) = "HCare"
	arFormValues0(34) = Request("HCare")
	arFormFields0(35) = "BioMed"
	arFormDBFields0(35) = "BioMed"
	arFormValues0(35) = Request("BioMed")
	arFormFields0(36) = "website"
	arFormDBFields0(36) = "website"
	arFormValues0(36) = Request("website")
	arFormFields0(37) = "Religion"
	arFormDBFields0(37) = "Religion"
	arFormValues0(37) = Request("Religion")
	arFormFields0(38) = "Author3"
	arFormDBFields0(38) = "Author3"
	arFormValues0(38) = Request("Author3")
	arFormFields0(39) = "Tech"
	arFormDBFields0(39) = "Tech"
	arFormValues0(39) = Request("Tech")
	arFormFields0(40) = "Psych"
	arFormDBFields0(40) = "Psych"
	arFormValues0(40) = Request("Psych")
	arFormFields0(41) = "NAPA"
	arFormDBFields0(41) = "NAPA"
	arFormValues0(41) = Request("NAPA")
	arFormFields0(42) = "AARG"
	arFormDBFields0(42) = "AARG"
	arFormValues0(42) = Request("AARG")
	arFormFields0(43) = "Author4"
	arFormDBFields0(43) = "Author4"
	arFormValues0(43) = Request("Author4")
	arFormFields0(44) = "RInterest"
	arFormDBFields0(44) = "RInterest"
	arFormValues0(44) = Request("RInterest")
	arFormFields0(45) = "PCode"
	arFormDBFields0(45) = "PCode"
	arFormValues0(45) = Request("PCode")
	arFormFields0(46) = "NAmerica"
	arFormDBFields0(46) = "NAmerica"
	arFormValues0(46) = Request("NAmerica")
	arFormFields0(47) = "Author5"
	arFormDBFields0(47) = "Author5"
	arFormValues0(47) = Request("Author5")
	arFormFields0(48) = "Applied"
	arFormDBFields0(48) = "Applied"
	arFormValues0(48) = Request("Applied")
	arFormFields0(49) = "Mental"
	arFormDBFields0(49) = "Mental"
	arFormValues0(49) = Request("Mental")
	arFormFields0(50) = "Migration"
	arFormDBFields0(50) = "Migration"
	arFormValues0(50) = Request("Migration")
	arFormFields0(51) = "Ethno"
	arFormDBFields0(51) = "Ethno"
	arFormValues0(51) = Request("Ethno")
	arFormFields0(52) = "email"
	arFormDBFields0(52) = "email"
	arFormValues0(52) = Request("email")
	arFormFields0(53) = "SocFood"
	arFormDBFields0(53) = "SocFood"
	arFormValues0(53) = Request("SocFood")
	arFormFields0(54) = "STM"
	arFormDBFields0(54) = "STM"
	arFormValues0(54) = Request("STM")
	arFormFields0(55) = "ADSG"
	arFormDBFields0(55) = "ADSG"
	arFormValues0(55) = Request("ADSG")
	arFormFields0(56) = "Products"
	arFormDBFields0(56) = "Products"
	arFormValues0(56) = Request("Products")
	arFormFields0(57) = "RExperience"
	arFormDBFields0(57) = "RExperience"
	arFormValues0(57) = Request("RExperience")
	arFormFields0(58) = "MidEast"
	arFormDBFields0(58) = "MidEast"
	arFormValues0(58) = Request("MidEast")
	arFormFields0(59) = "Service"
	arFormDBFields0(59) = "Service"
	arFormValues0(59) = Request("Service")
	arFormFields0(60) = "City"
	arFormDBFields0(60) = "City"
	arFormValues0(60) = Request("City")
	arFormFields0(61) = "Humanist"
	arFormDBFields0(61) = "Humanist"
	arFormValues0(61) = Request("Humanist")
	arFormFields0(62) = "Reprod"
	arFormDBFields0(62) = "Reprod"
	arFormValues0(62) = Request("Reprod")
	arFormFields0(63) = "HIV_AIDS"
	arFormDBFields0(63) = "HIV_AIDS"
	arFormValues0(63) = Request("HIV_AIDS")
	arFormFields0(64) = "Degree"
	arFormDBFields0(64) = "Degree"
	arFormValues0(64) = Request("Degree")
	arFormFields0(65) = "AES"
	arFormDBFields0(65) = "AES"
	arFormValues0(65) = Request("AES")
	arFormFields0(66) = "CICH"
	arFormDBFields0(66) = "CICH"
	arFormValues0(66) = Request("CICH")
	arFormFields0(67) = "Area"
	arFormDBFields0(67) = "Area"
	arFormValues0(67) = Request("Area")
	arFormFields0(68) = "Evol"
	arFormDBFields0(68) = "Evol"
	arFormValues0(68) = Request("Evol")
	arFormFields0(69) = "Education"
	arFormDBFields0(69) = "Education"
	arFormValues0(69) = Request("Education")
	arFormFields0(70) = "Feminist"
	arFormDBFields0(70) = "Feminist"
	arFormValues0(70) = Request("Feminist")
	arFormFields0(71) = "Title1"
	arFormDBFields0(71) = "Title1"
	arFormValues0(71) = Request("Title1")
	arFormFields0(72) = "Languages"
	arFormDBFields0(72) = "Languages"
	arFormValues0(72) = Request("Languages")
	arFormFields0(73) = "Other"
	arFormDBFields0(73) = "Other"
	arFormValues0(73) = Request("Other")
	arFormFields0(74) = "LCourse"
	arFormDBFields0(74) = "LCourse"
	arFormValues0(74) = Request("LCourse")
	arFormFields0(75) = "ChildH"
	arFormDBFields0(75) = "ChildH"
	arFormValues0(75) = Request("ChildH")
	arFormFields0(76) = "SCA"
	arFormDBFields0(76) = "SCA"
	arFormValues0(76) = Request("SCA")
	arFormFields0(77) = "EAStudies"
	arFormDBFields0(77) = "EAStudies"
	arFormValues0(77) = Request("EAStudies")
	arFormFields0(78) = "Central"
	arFormDBFields0(78) = "Central"
	arFormValues0(78) = Request("Central")
	arFormFields0(79) = "ABA"
	arFormDBFields0(79) = "ABA"
	arFormValues0(79) = Request("ABA")
	arFormFields0(80) = "African"
	arFormDBFields0(80) = "African"
	arFormValues0(80) = Request("African")
	arFormFields0(81) = "BIG"
	arFormDBFields0(81) = "BIG"
	arFormValues0(81) = Request("BIG")
	arFormFields0(82) = "Works"
	arFormDBFields0(82) = "Works"
	arFormValues0(82) = Request("Works")
	arFormFields0(83) = "Title2"
	arFormDBFields0(83) = "Title2"
	arFormValues0(83) = Request("Title2")
	arFormFields0(84) = "Source1"
	arFormDBFields0(84) = "Source1"
	arFormValues0(84) = Request("Source1")
	arFormFields0(85) = "Food"
	arFormDBFields0(85) = "Food"
	arFormValues0(85) = Request("Food")
	arFormFields0(86) = "Ethics"
	arFormDBFields0(86) = "Ethics"
	arFormValues0(86) = Request("Ethics")
	arFormFields0(87) = "Environ"
	arFormDBFields0(87) = "Environ"
	arFormValues0(87) = Request("Environ")
	arFormFields0(88) = "FName"
	arFormDBFields0(88) = "FName"
	arFormValues0(88) = Request("FName")
	arFormFields0(89) = "Conscious"
	arFormDBFields0(89) = "Conscious"
	arFormValues0(89) = Request("Conscious")
	arFormFields0(90) = "Student"
	arFormDBFields0(90) = "Student"
	arFormValues0(90) = Request("Student")
	arFormFields0(91) = "General"
	arFormDBFields0(91) = "General"
	arFormValues0(91) = Request("General")
	arFormFields0(92) = "DR"
	arFormDBFields0(92) = "DR"
	arFormValues0(92) = Request("DR")
	arFormFields0(93) = "Title3"
	arFormDBFields0(93) = "Title3"
	arFormValues0(93) = Request("Title3")
	arFormFields0(94) = "Source2"
	arFormDBFields0(94) = "Source2"
	arFormValues0(94) = Request("Source2")
	arFormFields0(95) = "PubYr1"
	arFormDBFields0(95) = "PubYr1"
	arFormValues0(95) = Request("PubYr1")
	arFormFields0(96) = "Prevent"
	arFormDBFields0(96) = "Prevent"
	arFormValues0(96) = Request("Prevent")
	arFormFields0(97) = "Evidence"
	arFormDBFields0(97) = "Evidence"
	arFormValues0(97) = Request("Evidence")
	arFormFields0(98) = "Country"
	arFormDBFields0(98) = "Country"
	arFormValues0(98) = Request("Country")
	arFormFields0(99) = "GHEDCA"
	arFormDBFields0(99) = "GHEDCA"
	arFormValues0(99) = Request("GHEDCA")
	arFormFields0(100) = "CAMIM"
	arFormDBFields0(100) = "CAMIM"
	arFormValues0(100) = Request("CAMIM")
	arFormFields0(101) = "Visual"
	arFormDBFields0(101) = "Visual"
	arFormValues0(101) = Request("Visual")
	arFormFields0(102) = "eAnth"
	arFormDBFields0(102) = "eAnth"
	arFormValues0(102) = Request("eAnth")
	arFormFields0(103) = "CONAA"
	arFormDBFields0(103) = "CONAA"
	arFormValues0(103) = Request("CONAA")
	arFormFields0(104) = "Title4"
	arFormDBFields0(104) = "Title4"
	arFormValues0(104) = Request("Title4")
	arFormFields0(105) = "Source3"
	arFormDBFields0(105) = "Source3"
	arFormValues0(105) = Request("Source3")
	arFormFields0(106) = "PubYr2"
	arFormDBFields0(106) = "PubYr2"
	arFormValues0(106) = Request("PubYr2")
	arFormFields0(107) = "Substance"
	arFormDBFields0(107) = "Substance"
	arFormValues0(107) = Request("Substance")
	arFormFields0(108) = "Indigenous"
	arFormDBFields0(108) = "Indigenous"
	arFormValues0(108) = Request("Indigenous")
	arFormFields0(109) = "Chronic"
	arFormDBFields0(109) = "Chronic"
	arFormValues0(109) = Request("Chronic")
	arFormFields0(110) = "State"
	arFormDBFields0(110) = "State"
	arFormValues0(110) = Request("State")
	arFormFields0(111) = "EASociety"
	arFormDBFields0(111) = "EASociety"
	arFormValues0(111) = Request("EASociety")
	arFormFields0(112) = "SACC"
	arFormDBFields0(112) = "SACC"
	arFormValues0(112) = Request("SACC")
	arFormFields0(113) = "BAS"
	arFormDBFields0(113) = "BAS"
	arFormValues0(113) = Request("BAS")
	arFormFields0(114) = "Senior"
	arFormDBFields0(114) = "Senior"
	arFormValues0(114) = Request("Senior")
	arFormFields0(115) = "CAR"
	arFormDBFields0(115) = "CAR"
	arFormValues0(115) = Request("CAR")
	arFormFields0(116) = "Mentor"
	arFormDBFields0(116) = "Mentor"
	arFormValues0(116) = Request("Mentor")
	arFormFields0(117) = "Title5"
	arFormDBFields0(117) = "Title5"
	arFormValues0(117) = Request("Title5")
	arFormFields0(118) = "Source4"
	arFormDBFields0(118) = "Source4"
	arFormValues0(118) = Request("Source4")
	arFormFields0(119) = "PubYr3"
	arFormDBFields0(119) = "PubYr3"
	arFormValues0(119) = Request("PubYr3")
	arFormFields0(120) = "Policy"
	arFormDBFields0(120) = "Policy"
	arFormValues0(120) = Request("Policy")
	arFormFields0(121) = "Disparities"
	arFormDBFields0(121) = "Disparities"
	arFormValues0(121) = Request("Disparities")
	arFormFields0(122) = "Gender"
	arFormDBFields0(122) = "Gender"
	arFormValues0(122) = Request("Gender")

	FP_SaveFormFields fp_rs, arFormFields0, arFormDBFields0

	If Request.ServerVariables("HTTP_USER_AGENT") <> "" Then
		FP_SaveFieldToDB fp_rs, Request.ServerVariables("HTTP_USER_AGENT"), "Browser_type"
	End If
	If Request.ServerVariables("REMOTE_HOST") <> "" Then
		FP_SaveFieldToDB fp_rs, Request.ServerVariables("REMOTE_HOST"), "Remote_computer_name"
	End If
	FP_SaveFieldToDB fp_rs, Now, "Timestamp"
	If Request.ServerVariables("REMOTE_USER") <> "" Then
		FP_SaveFieldToDB fp_rs, Request.ServerVariables("REMOTE_USER"), "User_name"
	End If

	fp_rs.Update
	FP_DumpError strErrorUrl, "Cannot update the database"

	fp_rs.Close
	fp_conn.Close

	Session("FP_SavedFields")=arFormFields0
	Session("FP_SavedValues")=arFormValues0
	Session.CodePage = Session("FP_OldCodePage")
	Session.LCID = Session("FP_OldLCID")
	Response.Redirect "thank_you.htm"

End If
End If

Session.CodePage = Session("FP_OldCodePage")
Session.LCID = Session("FP_OldLCID")

%>
<html>

	<head>
<metahttp-equiv="content-type" content="text/html; charset=iso-8859-1">
<title>SMA - Medical Anthropology Global Directory</title>
<META NAME="description" CONTENT="The website of the Society for Medical Anthropology serves the needs of medical anthropology graduate students, practicing anthropologists, scholars, and scholar activists who address issues of local, national and international health importance. "> 
<META NAME="keywords" CONTENT="medical anthropology, public health, social sciences, medicine, syllabi, bibliographies, research, jobs, funding, grants, fellowships, journals, methodology, professional networks, conferences, collaboration, calls for papers, internships, graduate programs, discussion lists"> 
<META NAME="Content-language" CONTENT="en"> 

<link rel="stylesheet" type="text/css" href="style/css.css">

</head>
<body topmargin="0" leftmargin="0">

<form method="POST" action="submit.asp" webbot-action="--WEBBOT-SELF--">
  <!--webbot bot="SaveDatabase" startspan SuggestedExt="asp" S-DataConnection="index" S-RecordSource="Results" U-Database-URL="fpdb/index.mdb" S-Builtin-Fields="HTTP_USER_AGENT REMOTE_HOST Timestamp REMOTE_USER" S-Builtin-DBFields="Browser_type Remote_computer_name Timestamp User_name" S-Form-Fields="SocLing Affil ALLA PSG Source5 PubYr4 Pharm Work Europe Museum PubYr5 Global Add1 UNTGlobal SLACA CNutrition Infect Professions Healing Add2 LName SMA Arch CAMA Author1 Disability AltMed MName SLGA Agriculture APLA MASA Author2 SexH HCare BioMed website Religion Author3 Tech Psych NAPA AARG Author4 RInterest PCode NAmerica Author5 Applied Mental Migration Ethno email SocFood STM ADSG Products RExperience MidEast Service City Humanist Reprod HIV_AIDS Degree AES CICH Area Evol Education Feminist Title1 Languages Other LCourse ChildH SCA EAStudies Central ABA African BIG Works Title2 Source1 Food Ethics Environ FName Conscious Student General DR Title3 Source2 PubYr1 Prevent Evidence Country GHEDCA CAMIM Visual eAnth CONAA Title4 Source3 PubYr2 Substance Indigenous Chronic State EASociety SACC BAS Senior CAR Mentor Title5 Source4 PubYr3 Policy Disparities Gender" S-Form-DBFields="SocLing Affil ALLA PSG Source5 PubYr4 Pharm Work Europe Museum PubYr5 Global Add1 UNTGlobal SLACA CNutrition Infect Professions Healing Add2 LName SMA Arch CAMA Author1 Disability AltMed MName SLGA Agriculture APLA MASA Author2 SexH HCare BioMed website Religion Author3 Tech Psych NAPA AARG Author4 RInterest PCode NAmerica Author5 Applied Mental Migration Ethno email SocFood STM ADSG Products RExperience MidEast Service City Humanist Reprod HIV_AIDS Degree AES CICH Area Evol Education Feminist Title1 Languages Other LCourse ChildH SCA EAStudies Central ABA African BIG Works Title2 Source1 Food Ethics Environ FName Conscious Student General DR Title3 Source2 PubYr1 Prevent Evidence Country GHEDCA CAMIM Visual eAnth CONAA Title4 Source3 PubYr2 Substance Indigenous Chronic State EASociety SACC BAS Senior CAR Mentor Title5 Source4 PubYr3 Policy Disparities Gender" U-ASP-Include-Url="_fpclass/fpdbform.inc" U-Confirmation-Url="thank_you.htm" U-Validation-Error-Url="sorry.htm" --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--#include file="_fpclass/fpdbform.inc"--><!--webbot bot="SaveDatabase" endspan i-checksum="40548" -->
  <div align="center">
  <table border="0" width="800">
    <tr>
      <td>&nbsp;</td>
      <td colspan="2" align="center"><img border="0" 
  src="images/SMA_Header2.gif" width="623" height="49"></td>
      <td>&nbsp;</td>
      <td>&nbsp;</td>
      <td>&nbsp;</td>
    </tr>
    <tr>
      <td rowspan="2"></td>
      <td colspan="2" align="center"><b><font size="5" color="#330099">Medical Anthropology 
		Global Directory </font><font size="5">Submission Form</font></b></td>
      <td rowspan="2"></td>
      <td rowspan="2"></td>
      <td rowspan="2"></td>
    </tr>
    <tr>
      <td colspan="2" align="center">&nbsp;</td>
    </tr>
    <tr>
      <td></td>
      <td colspan="2">
		<table border="0" width="100%" id="table26" bgcolor="#990000" cellpadding="3">
			<tr>
				<td bgcolor="#FFFFFF">
				<table border="0" width="100%" id="table29" cellspacing="0">
					<tr>
						<td width="50%" align="left" valign="top"><b><font size="2"><a name="top"></a>
                        The Society for Medical Anthropology (SMA) of the 
                        American Anthropological Association invites all medical 
                        anthropologists worldwide to build a global medical 
                        anthropology directory. Academic, practicing 
                        professional, retired, and student medical 
                        anthropologists are included in this effort.<br>
                        <br>
                        The goal is to create a complete, on-line, searchable 
                        directory of the world's medical anthropologists. Such a 
                        directory will be useful within our discipline and 
                        beyond. To that end, we ask you to join us by providing 
                        your information in the attached template.<br>
						<br>
						After you have completed your submission, please contact
		<script language="JavaScript">
							<!--
							var user = "Kevin-Kelly";
							var domain = "UIowa.edu";
							document.write('<a href=\"mailto:' + user + '@' + domain + '\">');
							document.write(user + '@' + domain + '</a>');
						// -->
							</script>
						to validate and activate your entry. [You will be 
						reminded about this final step after you form is 
						submitted.]<br>
                        <br>
                        Thank you for your time and consideration.</font></b></td>
						<td width="50%" bgcolor="#CCCCCC">
						<table border="0" width="100%" cellspacing="4">
							<tr>
								<td bgcolor="#FFFFFF">
								<table border="0" width="100%" id="table30" cellspacing="1">
									<tr>
										<td colspan="3"><b><font size="2">Summary of the 
						directory fields:</font></b></td>
									</tr>
									<tr>
										<td align="center" valign="top">
										<font face="Verdana">&#9679;</font></td>
										<td colspan="2"><b><font size="2">Essential Fields:</font></b></td>
									</tr>
									<tr>
										<td>&nbsp;</td>
										<td align="center" valign="top">
										<font face="Verdana">&#9642;</font></td>
										<td><font size="2"><a href="#Name">Name, 
										affiliation, contact information</a></font></td>
									</tr>
									<tr>
										<td>&nbsp;</td>
										<td align="center" valign="top">
										<font face="Verdana">&#9642;</font></td>
										<td><font size="2"><a href="#Fields">Fields of specialization</a></font></td>
									</tr>
									<tr>
										<td>&nbsp;</td>
										<td align="center" valign="top">
										<font face="Verdana">&#9642;</font></td>
										<td><font size="2"><a href="#Interests">Research 
										interests</a></font></td>
									</tr>
									<tr>
										<td>&nbsp;</td>
										<td align="center" valign="top">
										<font face="Verdana">&#9642;</font></td>
										<td><font size="2"><a href="#Geographic">Geographic 
										specialization</a></font></td>
									</tr>
									<tr>
										<td>&nbsp;</td>
										<td align="center" valign="top">
										<font face="Verdana">&#9642;</font></td>
										<td><font size="2"><a href="#Languages">Languages</a></font></td>
									</tr>
									<tr>
										<td align="center" valign="top">
										<font face="Verdana">&#9679;</font></td>
										<td colspan="2"><b><font size="2">Optional Fields:</font></b></td>
									</tr>
									<tr>
										<td>&nbsp;</td>
										<td align="center" valign="top">
										<font face="Verdana">&#9643;</font></td>
										<td><font size="2"><a href="#Experience">Research experience</a></font></td>
									</tr>
									<tr>
										<td>&nbsp;</td>
										<td align="center" valign="top">
										<font face="Verdana">&#9643;</font></td>
										<td><font size="2"><a href="#Applied">Applied work/Consultancies</a></font></td>
									</tr>
									<tr>
										<td>&nbsp;</td>
										<td align="center" valign="top">
										<font face="Verdana">&#9643;</font></td>
										<td><font size="2"><a href="#Service">Professional service</a></font></td>
									</tr>
									<tr>
										<td>&nbsp;</td>
										<td align="center" valign="top">
										<font face="Verdana">&#9643;</font></td>
										<td><font size="2"><a href="#Publications">Recent/representative 
										publications</a></font></td>
									</tr>
									<tr>
										<td>&nbsp;</td>
										<td align="center" valign="top">
										<font face="Verdana">&#9643;</font></td>
										<td><font size="2"><a href="#Products">Other work products</a></font></td>
									</tr>
									<tr>
										<td>&nbsp;</td>
										<td align="center" valign="top">
										<font face="Verdana">&#9643;</font></td>
										<td><font size="2"><a href="#Work">Work in 
										progress</a></font></td>
									</tr>
									<tr>
										<td>&nbsp;</td>
										<td align="center" valign="top">
										<font face="Verdana">&#9643;</font></td>
										<td><font size="2"><a href="#Mentorship">
									Ability to provide mentorship and 
										advice</a></font></td>
									</tr>
									<tr>
										<td>&nbsp;</td>
										<td align="center" valign="top">
										<font face="Verdana">&#9643;</font></td>
										<td><font size="2"><a href="#SMA">Memberships in SMA interest groups</a></font></td>
									</tr>
									<tr>
										<td>&nbsp;</td>
										<td align="center" valign="top">
										<font face="Verdana">&#9643;</font></td>
										<td><font size="2"><a href="#AAA">Memberships in AAA 
									sections</a></font></td>
									</tr>
								</table>
								</td>
							</tr>
						</table>
						</td>
					</tr>
					</table>
				</td>
			</tr>
		</table>
		</td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td>&nbsp;</td>
      <td align="right"></td>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right"><a name="Name"></a><b><font size="2">First Name:</font></b></td>
      <td><input type="text" name="FName" size="30"></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right"><b><font size="2">Middle Name or Initial:</font></b></td>
      <td><input type="text" name="MName" size="30"></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right"><b><font size="2">Last Name:</font></b></td>
      <td><input type="text" name="LName" size="30"></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="center"><font color="#990000"><b>Affiliation:</b></font></td>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right"><b><font size="2">University and/or Employer:</font></b></td>
      <td><input type="text" name="Affil" size="40"></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right"><b><font size="2">Address:</font></b></td>
      <td><input type="text" name="Add1" size="40"></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right"></td>
      <td><input type="text" name="Add2" size="40"></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right"><b><font size="2">City:</font></b></td>
      <td><input type="text" name="City" size="40"></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right"><b><font size="2">State/Province:</font></b></td>
      <td><input type="text" name="State" size="40"></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right"><b><font size="2">Zip/Postal Code:</font></b></td>
      <td><input type="text" name="PCode" size="40"></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right"><b><font size="2">Country:</font></b></td>
      <td><select size="1" name="Country">
		<option  SELECTED value="United States">United States</option>
		<option  value="Afghanistan">Afghanistan</option>
		<option  value="Albania">Albania</option>
		<option  value="Algeria">Algeria</option>
		<option  value="American Samoa">American Samoa</option>
		<option  value="Andorra">Andorra</option>
		<option  value="Angola">Angola</option>
		<option  value="Anguilla">Anguilla</option>
		<option  value="Antarctica">Antarctica</option>
		<option  value="Antigua and Barbuda">Antigua and Barbuda</option>
		<option  value="Argentina">Argentina</option>
		<option  value="Armenia">Armenia</option>
		<option  value="Aruba">Aruba</option>
		<option  value="Ascension Island">Ascension Island</option>
		<option  value="Australia">Australia</option>
		<option  value="Austria">Austria</option>
		<option  value="Azerbaijan">Azerbaijan</option>
		<option  value="Bahamas">Bahamas</option>
		<option  value="Bahrain">Bahrain</option>
		<option  value="Bangladesh">Bangladesh</option>
		<option  value="Barbados">Barbados</option>
		<option  value="Belarus">Belarus</option>
		<option  value="Belgium">Belgium</option>
		<option  value="Belize">Belize</option>
		<option  value="Benin">Benin</option>
		<option  value="Bermuda">Bermuda</option>
		<option  value="Bhutan">Bhutan</option>
		<option  value="Bolivia">Bolivia</option>
		<option  value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
		<option  value="Botswana">Botswana</option>
		<option  value="Bouvet Island">Bouvet Island</option>
		<option  value="Brazil">Brazil</option>
		<option  value="British Indian Ocean Territory">British Indian Ocean Territory</option>
		<option  value="Brunei Darussalam">Brunei Darussalam</option>
		<option  value="Bulgaria">Bulgaria</option>
		<option  value="Burkina Faso">Burkina Faso</option>
		<option  value="Burundi">Burundi</option>
		<option  value="Cambodia">Cambodia</option>
		<option  value="Cameroon">Cameroon</option>
		<option  value="Canada">Canada</option>
		<option  value="Cape Verde Islands">Cape Verde Islands</option>
		<option  value="Cayman Islands">Cayman Islands</option>
		<option  value="Central African Republic">Central African Republic</option>
		<option  value="Chad">Chad</option>
		<option  value="Chile">Chile</option>
		<option  value="China">China</option>
		<option  value="Christmas Island">Christmas Island</option>
		<option  value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
		<option  value="Colombia">Colombia</option>
		<option  value="Comoros">Comoros</option>
		<option  value="Congo, Democratic Republic of">Congo, Democratic Republic of</option>
		<option  value="Congo, Republic of">Congo, Republic of</option>
		<option  value="Cook Islands">Cook Islands</option>
		<option  value="Costa Rica">Costa Rica</option>
		<option  value="Cote d'Ivoire">Cote d'Ivoire</option>
		<option  value="Croatia/Hrvatska">Croatia/Hrvatska</option>
		<option  value="Cuba">Cuba</option>
		<option  value="Cyprus">Cyprus</option>
		<option  value="Czech Republic">Czech Republic</option>
		<option  value="Denmark">Denmark</option>
		<option  value="Djibouti">Djibouti</option>
		<option  value="Dominica">Dominica</option>
		<option  value="Dominican Republic">Dominican Republic</option>
		<option  value="East Timor">East Timor</option>
		<option  value="Ecuador">Ecuador</option>
		<option  value="Egypt">Egypt</option>
		<option  value="El Salvador">El Salvador</option>
		<option  value="Equatorial Guinea">Equatorial Guinea</option>
		<option  value="Eritrea">Eritrea</option>
		<option  value="Estonia">Estonia</option>
		<option  value="Ethiopia">Ethiopia</option>
		<option  value="Falkland Islands">Falkland Islands</option>
		<option  value="Faroe Islands">Faroe Islands</option>
		<option  value="Fiji">Fiji</option>
		<option  value="Finland">Finland</option>
		<option  value="France">France</option>
		<option  value="French Guiana">French Guiana</option>
		<option  value="French Polynesia">French Polynesia</option>
		<option  value="French Southern Territories">French Southern Territories</option>
		<option  value="Gabon">Gabon</option>
		<option  value="Gambia">Gambia</option>
		<option  value="Georgia">Georgia</option>
		<option  value="Germany">Germany</option>
		<option  value="Ghana">Ghana</option>
		<option  value="Gibraltar">Gibraltar</option>
		<option  value="Greece">Greece</option>
		<option  value="Greenland">Greenland</option>
		<option  value="Grenada">Grenada</option>
		<option  value="Guadeloupe">Guadeloupe</option>
		<option  value="Guam">Guam</option>
		<option  value="Guatemala">Guatemala</option>
		<option  value="Guernsey">Guernsey</option>
		<option  value="Guinea">Guinea</option>
		<option  value="Guinea-Bissau">Guinea-Bissau</option>
		<option  value="Guyana">Guyana</option>
		<option  value="Haiti">Haiti</option>
		<option  value="Heard and McDonald Islands">Heard and McDonald Islands</option>
		<option  value="Honduras">Honduras</option>
		<option  value="Hong Kong">Hong Kong</option>
		<option  value="Hungary">Hungary</option>
		<option  value="Iceland">Iceland</option>
		<option  value="India">India</option>
		<option  value="Indonesia">Indonesia</option>
		<option  value="Iran">Iran</option>
		<option  value="Iraq">Iraq</option>
		<option  value="Ireland">Ireland</option>
		<option  value="Isle of Man">Isle of Man</option>
		<option  value="Israel">Israel</option>
		<option  value="Italy">Italy</option>
		<option  value="Jamaica">Jamaica</option>
		<option  value="Japan">Japan</option>
		<option  value="Jersey">Jersey</option>
		<option  value="Jordan">Jordan</option>
		<option  value="Kazakhstan">Kazakhstan</option>
		<option  value="Kenya">Kenya</option>
		<option  value="Kiribati">Kiribati</option>
		<option  value="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option>
		<option  value="Korea, Republic of">Korea, Republic of</option>
		<option  value="Kuwait">Kuwait</option>
		<option  value="Kyrgyzstan">Kyrgyzstan</option>
		<option  value="Laos">Laos</option>
		<option  value="Latvia">Latvia</option>
		<option  value="Lebanon">Lebanon</option>
		<option  value="Lesotho">Lesotho</option>
		<option  value="Liberia">Liberia</option>
		<option  value="Libya">Libya</option>
		<option  value="Liechtenstein">Liechtenstein</option>
		<option  value="Lithuania">Lithuania</option>
		<option  value="Luxembourg">Luxembourg</option>
		<option  value="Macau">Macau</option>
		<option  value="Macedonia, Former Yugoslav Republic">Macedonia, Former Yugoslav Republic</option>
		<option  value="Madagascar">Madagascar</option>
		<option  value="Malawi">Malawi</option>
		<option  value="Malaysia">Malaysia</option>
		<option  value="Maldives">Maldives</option>
		<option  value="Mali">Mali</option>
		<option  value="Malta">Malta</option>
		<option  value="Marshall Islands">Marshall Islands</option>
		<option  value="Martinique">Martinique</option>
		<option  value="Mauritania">Mauritania</option>
		<option  value="Mauritius">Mauritius</option>
		<option  value="Mayotte Island">Mayotte Island</option>
		<option  value="Mexico">Mexico</option>
		<option  value="Micronesia">Micronesia</option>
		<option  value="Moldova">Moldova</option>
		<option  value="Monaco">Monaco</option>
		<option  value="Mongolia">Mongolia</option>
		<option  value="Montserrat">Montserrat</option>
		<option  value="Morocco">Morocco</option>
		<option  value="Mozambique">Mozambique</option>
		<option  value="Myanmar">Myanmar</option>
		<option  value="Namibia">Namibia</option>
		<option  value="Nauru">Nauru</option>
		<option  value="Nepal">Nepal</option>
		<option  value="Netherlands">Netherlands</option>
		<option  value="Netherlands Antilles">Netherlands Antilles</option>
		<option  value="New Caledonia">New Caledonia</option>
		<option  value="New Zealand">New Zealand</option>
		<option  value="Nicaragua">Nicaragua</option>
		<option  value="Niger">Niger</option>
		<option  value="Nigeria">Nigeria</option>
		<option  value="Niue">Niue</option>
		<option  value="Norfolk Island">Norfolk Island</option>
		<option  value="Northern Mariana Islands">Northern Mariana Islands</option>
		<option  value="Norway">Norway</option>
		<option  value="Oman">Oman</option>
		<option  value="Pakistan">Pakistan</option>
		<option  value="Palau">Palau</option>
		<option  value="Palestinian Territories">Palestinian Territories</option>
		<option  value="Panama">Panama</option>
		<option  value="Papua New Guinea">Papua New Guinea</option>
		<option  value="Paraguay">Paraguay</option>
		<option  value="Peru">Peru</option>
		<option  value="Philippines">Philippines</option>
		<option  value="Pitcairn Island">Pitcairn Island</option>
		<option  value="Poland">Poland</option>
		<option  value="Portugal">Portugal</option>
		<option  value="Puerto Rico">Puerto Rico</option>
		<option  value="Qatar">Qatar</option>
		<option  value="Reunion Island">Reunion Island</option>
		<option  value="Romania">Romania</option>
		<option  value="Russian Federation">Russian Federation</option>
		<option  value="Rwanda">Rwanda</option>
		<option  value="Saint Helena">Saint Helena</option>
		<option  value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
		<option  value="Saint Lucia">Saint Lucia</option>
		<option  value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
		<option  value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
		<option  value="San Marino">San Marino</option>
		<option  value="Sao Tome and Principe">Sao Tome and Principe</option>
		<option  value="Saudi Arabia">Saudi Arabia</option>
		<option  value="Senegal">Senegal</option>
		<option  value="Serbia and Montenegro">Serbia and Montenegro</option>
		<option  value="Seychelles">Seychelles</option>
		<option  value="Sierra Leone">Sierra Leone</option>
		<option  value="Singapore">Singapore</option>
		<option  value="Slovak Republic">Slovak Republic</option>
		<option  value="Slovenia">Slovenia</option>
		<option  value="Solomon Islands">Solomon Islands</option>
		<option  value="Somalia">Somalia</option>
		<option  value="South Africa">South Africa</option>
		<option  value="South Georgia and South Sandwich Islands">South Georgia and South Sandwich Islands</option>
		<option  value="Spain">Spain</option>
		<option  value="Sri Lanka">Sri Lanka</option>
		<option  value="Sudan">Sudan</option>
		<option  value="Suriname">Suriname</option>
		<option  value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option>
		<option  value="Swaziland">Swaziland</option>
		<option  value="Sweden">Sweden</option>
		<option  value="Switzerland">Switzerland</option>
		<option  value="Syria">Syria</option>
		<option  value="Taiwan">Taiwan</option>
		<option  value="Tajikistan">Tajikistan</option>
		<option  value="Tanzania">Tanzania</option>
		<option  value="Thailand">Thailand</option>
		<option  value="Timor-Leste">Timor-Leste</option>
		<option  value="Togo">Togo</option>
		<option  value="Tokelau">Tokelau</option>
		<option  value="Tonga Islands">Tonga Islands</option>
		<option  value="Trinidad and Tobago">Trinidad and Tobago</option>
		<option  value="Tunisia">Tunisia</option>
		<option  value="Turkey">Turkey</option>
		<option  value="Turkmenistan">Turkmenistan</option>
		<option  value="Turks and Caicos Islands">Turks and Caicos Islands</option>
		<option  value="Tuvalu">Tuvalu</option>
		<option  value="Uganda">Uganda</option>
		<option  value="Ukraine">Ukraine</option>
		<option  value="United Arab Emirates">United Arab Emirates</option>
		<option  value="United Kingdom">United Kingdom</option>
		<option  value="Uruguay">Uruguay</option>
		<option  value="US Minor Outlying Islands">US Minor Outlying Islands</option>
		<option  value="Uzbekistan">Uzbekistan</option>
		<option  value="Vanuatu">Vanuatu</option>
		<option  value="Vatican City">Vatican City</option>
		<option  value="Venezuela">Venezuela</option>
		<option  value="Vietnam">Vietnam</option>
		<option  value="Virgin Islands (British)">Virgin Islands (British)</option>
		<option  value="Virgin Islands (USA)">Virgin Islands (USA)</option>
		<option  value="Wallis and Futuna Islands">Wallis and Futuna Islands</option>
		<option  value="Western Sahara">Western Sahara</option>
		<option  value="Western Samoa">Western Samoa</option>
		<option  value="Yemen">Yemen</option>
		<option  value="Yugoslavia">Yugoslavia</option>
		<option  value="Zambia">Zambia</option>
		<option  value="Zimbabwe">Zimbabwe</option></select></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right"><b><font size="2">E-mail:</font></b></td>
      <td><input type="text" name="email" size="40"></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right"><b><font size="2">Website:</font></b></td>
      <td><input type="text" name="website" size="40"></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right"><b><font size="2">Highest Degree:</font></b></td>
      <td><select size="1" name="Degree">
      <option>PhD</option>
      <option>EdD</option>
      <option>MD</option>
      <option>DO</option>
      <option>MS</option>
      <option>MA</option>
      <option>MPh</option>
      <option>BS</option>
      <option>BA</option>
      </select></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right" valign="top"><a name="Fields"></a><b><font size="2">Fields of Specialization:<br>
		(Maximum 10 key words)<br>
		<a href="#top">Back to the top</a></font></b></td>
      <td>
		<table border="0" width="100%" id="table7" cellspacing="1">
			<tr>
				<td align="center"><input type="checkbox" name="AltMed" value="X"></td>
				<td width="100%"><font size="2"><b>Alternative Medicine</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="BioMed" value="X"></td>
				<td width="100%"><font size="2"><b>Biomedicine</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="ChildH" value="X"></td>
				<td width="100%"><font size="2"><b>Child Health</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Chronic" value="X"></td>
				<td width="100%"><font size="2"><b>Chronic Illness</b></font></td>
			</tr>
			<tr>
				<td height="25" align="center">
				<input type="checkbox" name="Disability" value="X"></td>
				<td width="100%"><font size="2"><b>Disability</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Environ" value="X"></td>
				<td width="100%"><font size="2"><b>Environment and Health</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Ethics" value="X"></td>
				<td width="100%"><font size="2"><b>Ethics</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Ethno" value="X"></td>
				<td width="100%"><font size="2"><b>Ethnomedicine</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Evidence" value="X"></td>
				<td width="100%"><font size="2"><b>Evidence-based Medicine</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Food" value="X"></td>
				<td width="100%"><font size="2"><b>Food and Nutrition</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Gender" value="X"></td>
				<td width="100%"><font size="2"><b>Gender Health</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Global" value="X"></td>
				<td width="100%"><font size="2"><b>Global Health</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Healing" value="X"></td>
				<td width="100%"><font size="2"><b>Healing, Spiritual Healing</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Migration" value="X"></td>
				<td width="100%"><font size="2"><b>Health and Migration</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Tech" value="X"></td>
				<td width="100%"><font size="2"><b>Health and Technology</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="HCare" value="X"></td>
				<td width="100%"><font size="2"><b>Health Care Delivery and 
				Organization</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Disparities" value="X"></td>
				<td width="100%"><font size="2"><b>Health Disparities</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Professions" value="X"></td>
				<td width="100%"><font size="2"><b>Health Professions</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="HIV_AIDS" value="X"></td>
				<td width="100%"><font size="2"><b>HIV/AIDS</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Indigenous" value="X"></td>
				<td width="100%"><font size="2"><b>Indigenous Health</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Infect" value="X"></td>
				<td width="100%"><font size="2"><b>Infectious Disease</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="LCourse" value="X"></td>
				<td width="100%"><font size="2"><b>Life Course</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Mental" value="X"></td>
				<td width="100%"><font size="2"><b>Mental Health</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Pharm" value="X"></td>
				<td width="100%"><font size="2"><b>Pharmaceuticals</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Policy" value="X"></td>
				<td width="100%"><font size="2"><b>Policy</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Prevent" value="X"></td>
				<td width="100%"><font size="2"><b>Prevention</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Reprod" value="X"></td>
				<td width="100%"><font size="2"><b>Reproductive Health</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="SexH" value="X"></td>
				<td width="100%"><font size="2"><b>Sexual health</b></font></td>
			</tr>
			<tr>
				<td align="center"><input type="checkbox" name="Substance" value="X"></td>
				<td width="100%"><font size="2"><b>Substance Use</b></font></td>
			</tr>
			<tr>
				<td align="left" colspan="2">
				<table border="0" id="table8" cellspacing="0" cellpadding="0">
					<tr>
						<td><b><font size="2">Other:&nbsp; </font></b></td>
						<td><b><font size="2">
						<input type="text" name="Other" size="50"></font></b></td>
					</tr>
				</table>
				</td>
			</tr>
			</table>
		</td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right" valign="top"><a name="Interests"></a><b><font size="2">Research 
		Interests:<br>
		(Maximum 100 words)<br>
		<a href="#top">Back to the top</a></font></b><p>&nbsp;</td>
      <td align="left" valign="top">
		<textarea rows="5" name="RInterest" cols="70"></textarea></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right">&nbsp;</td>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right"><a name="Geographic"></a><b><font size="2">Geographic Specialization: </font></b> </td>
      <td><input type="text" name="Area" size="60"><b><font size="2"><a href="#top">Back to the top</a></font></b></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right"><a name="Languages"></a><b><font size="2">Languages:</font></b></td>
      <td><input type="text" name="Languages" size="60"><b><font size="2"><a href="#top">Back to the top</a></font></b></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="center"><font color="#990000"><b>Optional Fields:</b></font></td>
      <td></td>
      <td></td>
      <td></td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right" valign="top"><a name="Experience"></a><b><font size="2">Research 
		Experience:<br>
		(Maximum 100 words)<br>
		<a href="#top">Back to the top</a></font></b></td>
      <td colspan="4"><textarea rows="5" name="RExperience" cols="70"></textarea></td>
    </tr>
    <tr>
      <td>&nbsp;</td>
      <td align="right" valign="top"></td>
      <td colspan="4"></td>
    </tr>
    <tr>
      <td></td>
      <td align="right" valign="top"><a name="Applied"></a><b><font size="2">Applied Work/Consultancies (if relevant):<br>
		(Maximum 100 words)<br>
		<a href="#top">Back to the top</a> </font></b></td>
      <td colspan="4"><textarea rows="5" name="Applied" cols="70"></textarea></td>
    </tr>
    <tr>
      <td>&nbsp;</td>
      <td align="right" valign="top"></td>
      <td colspan="4"></td>
    </tr>
    <tr>
      <td></td>
      <td align="right" valign="top"><a name="Service"></a><b><font size="2">Professional Service:<br>
		(Maximum 100 words)<br>
		<a href="#top">Back to the top</a> </font></b></td>
      <td colspan="4"><textarea rows="5" name="Service" cols="70"></textarea></td>
    </tr>
    <tr>
      <td></td>
      <td align="right" valign="top" rowspan="10">
		<table border="0" width="100%" id="table22" cellspacing="0" cellpadding="0">
			<tr>
				<td align="right" valign="top">&nbsp;</td>
			</tr>
			<tr>
				<td align="center" valign="top">
				<table border="0" width="100%" id="table23" cellpadding="2">
					<tr>
						<td>
						<p align="right"><a name="Publications"></a><b><font size="2">
						Recent/Representative Publications:<br>
		(Limit to 5)<br>
		<a href="#top">Back to the top</a></font></b></p>
						<table border="0" width="100%" id="table25" cellspacing="3" cellpadding="0" bgcolor="#990000">
							<tr>
								<td>
						<table border="0" width="100%" id="table24" cellspacing="0" cellpadding="2" bgcolor="#FFFFFF">
							<tr>
								<td colspan="3" align="left"><b>
								<font size="2" color="#330099">Publication Examples:</font></b></td>
							</tr>
							<tr>
								<td colspan="3"><b><font size="2">
								Journal Article:</font></b></td>
							</tr>
							<tr>
								<td></td>
								<td align="right" valign="top" nowrap><b><font size="2">Author(s):</font></b></td>
								<td><font size="2">Moll, Luis C.</font></td>
							</tr>
							<tr>
								<td></td>
								<td align="right" valign="top" nowrap><b><font size="2">Year...:</font></b></td>
								<td><font size="2">2000</font></td>
							</tr>
							<tr>
								<td></td>
								<td align="right" valign="top" nowrap><b><font size="2">Title:</font></b></td>
								<td><font size="2">Writing as Communication: 
								Creating Strategic Learning Environments for 
								Students.</font></td>
							</tr>
							<tr>
								<td></td>
								<td align="right" valign="top" nowrap><b><font size="2">Source:</font></b></td>
								<td><font size="2">Theory into Practice 
								25(3):202-208.</font></td>
							</tr>
							<tr>
								<td colspan="3"><font size="2"><b>
								Book Chapter</b></font><b><font size="2">:</font></b></td>
							</tr>
							<tr>
								<td></td>
								<td align="right" valign="top" nowrap><b><font size="2">Author(s):</font></b></td>
								<td><font size="2">Rohlen, Thomas P.</font></td>
							</tr>
							<tr>
								<td></td>
								<td align="right" valign="top" nowrap><b><font size="2">Year...:</font></b></td>
								<td><font size="2">1993</font></td>
							</tr>
							<tr>
								<td></td>
								<td align="right" valign="top" nowrap><b><font size="2">Title:</font></b></td>
								<td><font size="2">Education: Policies and 
								Prospects.</font></td>
							</tr>
							<tr>
								<td></td>
								<td align="right" valign="top" nowrap><b><font size="2">Source:</font></b></td>
								<td><font size="2">In Koreans in Japan: Ethnic 
								Conflicts and Accommodation. Cameron Lee and 
								George De Vos, eds. Pp. 182-222. Berkeley: 
								University of California Press.</font></td>
							</tr>
							<tr>
								<td colspan="3"><font size="2"><b>
								Edited Volume</b></font><b><font size="2">:</font></b></td>
								</tr>
							<tr>
								<td></td>
								<td align="right" valign="top" nowrap><b><font size="2">Author(s):</font></b></td>
								<td><font size="2">Diskin, Martin, ed.</font></td>
							</tr>
							<tr>
								<td></td>
								<td align="right" valign="top" nowrap><b><font size="2">Year...:</font></b></td>
								<td><font size="2">1970</font></td>
							</tr>
							<tr>
								<td></td>
								<td align="right" valign="top" nowrap><b><font size="2">Title:</font></b></td>
								<td><font size="2">Trouble in Our Backyard: 
								Central America in the Eighties.</font></td>
							</tr>
							<tr>
								<td></td>
								<td align="right" valign="top" nowrap><b><font size="2">Source:</font></b></td>
								<td><font size="2">New York: Pantheon Books.</font></td>
							</tr>
							<tr>
								<td colspan="3"><font size="2"><b>
								Citing Multiple Authors</b></font><b><font size="2">:</font></b></td>
							</tr>
							<tr>
								<td></td>
								<td align="right" valign="top" nowrap><b><font size="2">Author(s):</font></b></td>
								<td><font size="2">Clutton-Brock, Juliet and 
								Caroline Grigson, eds.</font></td>
							</tr>
							<tr>
								<td colspan="3"><font size="2"><b>General Rules:</b></font></td>
								</tr>
							<tr>
								<td></td>
								<td align="right" valign="top" nowrap><b><font size="2">
								Source:</font></b></td>
								<td><font size="2">As a general rule, the 
								portion of the citation following the citation 
								'Title' is the 'Source.'</font></td>
							</tr>
							<tr>
								<td colspan="3"><b><font size="2">For more 
								examples,</font></b><font size="2"> please see 
								the <b> <a target="_blank" 
        href="http://www.aaanet.org/pubs/style_guide.htm">AAA Style Guide</a> 
								</b>on 
								the <b> <a href="http://www.aaanet.org">AAA website</a></b>.</font></td>
							</tr>
						</table>
						</td>
							</tr>
						</table>
						</td>
					</tr>
				</table>
				</td>
			</tr>
		</table>
		</td>
      <td colspan="4" rowspan="6">
		<table border="0" width="100%" id="table12" cellspacing="0" cellpadding="3">
			<tr>
				<td align="left" valign="top"><b><font size="2">1.</font></b></td>
				<td align="left" valign="top" bgcolor="#808080">
				<table border="0" id="table13" bgcolor="#FFFFFF" cellspacing="1" cellpadding="0" width="100%">
					<tr>
						<td align="right" valign="top"><b><font size="2">Author(s):</font></b></td>
						<td align="left" valign="top"><textarea rows="2" name="Author1" cols="50"></textarea></td>
					</tr>
					<tr>
						<td align="right" valign="top"><b><font size="2">Year of publication:</font></b></td>
						<td align="left" valign="top"><input type="text" name="PubYr1" size="8"></td>
					</tr>
					<tr>
						<td align="right" valign="top"><b><font size="2">Title:</font></b></td>
						<td align="left" valign="top"><textarea rows="3" name="Title1" cols="50"></textarea></td>
					</tr>
					<tr>
						<td align="right" valign="top"><b><font size="2">Source:</font></b></td>
						<td align="left" valign="top"><textarea rows="2" name="Source1" cols="50"></textarea></td>
					</tr>
				</table>
				</td>
			</tr>
		</table>
		
		</td>
    </tr>
    <tr>
      <td></td>
    </tr>
    <tr>
      <td></td>
    </tr>
    <tr>
      <td></td>
    </tr>
    <tr>
      <td></td>
    </tr>
    <tr>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td colspan="4">
		<table border="0" width="100%" id="table14" cellspacing="0" cellpadding="3">
			<tr>
				<td align="left" valign="top"><b><font size="2">2.</font></b></td>
				<td align="left" valign="top" bgcolor="#808080">
				<table border="0" id="table15" bgcolor="#FFFFFF" cellspacing="1" cellpadding="0" width="100%">
					<tr>
						<td align="right" valign="top"><b><font size="2">Author(s):</font></b></td>
						<td align="left" valign="top">
						<textarea rows="2" name="Author2" cols="50"></textarea></td>
					</tr>
					<tr>
						<td align="right" valign="top"><b><font size="2">Year of publication:</font></b></td>
						<td align="left" valign="top">
						<input type="text" name="PubYr2" size="8"></td>
					</tr>
					<tr>
						<td align="right" valign="top"><b><font size="2">Title:</font></b></td>
						<td align="left" valign="top">
						<textarea rows="3" name="Title2" cols="50"></textarea></td>
					</tr>
					<tr>
						<td align="right" valign="top"><b><font size="2">Source:</font></b></td>
						<td align="left" valign="top">
						<textarea rows="2" name="Source2" cols="50"></textarea></td>
					</tr>
				</table>
				</td>
			</tr>
		</table>
		
		</td>
    </tr>
	<tr>
      <td></td>
      <td colspan="4">
		<table border="0" width="100%" id="table16" cellspacing="0" cellpadding="3">
			<tr>
				<td align="left" valign="top"><b><font size="2">3.</font></b></td>
				<td align="left" valign="top" bgcolor="#808080">
				<table border="0" id="table17" bgcolor="#FFFFFF" cellspacing="1" cellpadding="0" width="100%">
					<tr>
						<td align="right" valign="top"><b><font size="2">Author(s):</font></b></td>
						<td align="left" valign="top">
						<textarea rows="2" name="Author3" cols="50"></textarea></td>
					</tr>
					<tr>
						<td align="right" valign="top"><b><font size="2">Year of publication:</font></b></td>
						<td align="left" valign="top">
						<input type="text" name="PubYr3" size="8"></td>
					</tr>
					<tr>
						<td align="right" valign="top"><b><font size="2">Title:</font></b></td>
						<td align="left" valign="top">
						<textarea rows="3" name="Title3" cols="50"></textarea></td>
					</tr>
					<tr>
						<td align="right" valign="top"><b><font size="2">Source:</font></b></td>
						<td align="left" valign="top">
						<textarea rows="2" name="Source3" cols="50"></textarea></td>
					</tr>
				</table>
				</td>
			</tr>
		</table>
		
		</td>
    </tr>
	<tr>
      <td></td>
      <td colspan="4">
		<table border="0" width="100%" id="table18" cellspacing="0" cellpadding="3">
			<tr>
				<td align="left" valign="top"><b><font size="2">4.</font></b></td>
				<td align="left" valign="top" bgcolor="#808080">
				<table border="0" id="table19" bgcolor="#FFFFFF" cellspacing="1" cellpadding="0" width="100%">
					<tr>
						<td align="right" valign="top"><b><font size="2">Author(s):</font></b></td>
						<td align="left" valign="top">
						<textarea rows="2" name="Author4" cols="50"></textarea></td>
					</tr>
					<tr>
						<td align="right" valign="top"><b><font size="2">Year of publication:</font></b></td>
						<td align="left" valign="top">
						<input type="text" name="PubYr4" size="8"></td>
					</tr>
					<tr>
						<td align="right" valign="top"><b><font size="2">Title:</font></b></td>
						<td align="left" valign="top">
						<textarea rows="3" name="Title4" cols="50"></textarea></td>
					</tr>
					<tr>
						<td align="right" valign="top"><b><font size="2">Source:</font></b></td>
						<td align="left" valign="top">
						<textarea rows="2" name="Source4" cols="50"></textarea></td>
					</tr>
				</table>
				</td>
			</tr>
		</table>
		
		</td>
    </tr>
	<tr>
      <td></td>
      <td colspan="4">
		<table border="0" width="100%" id="table20" cellspacing="0" cellpadding="3">
			<tr>
				<td align="left" valign="top"><b><font size="2">5.</font></b></td>
				<td align="left" valign="top" bgcolor="#808080">
				<table border="0" id="table21" bgcolor="#FFFFFF" cellspacing="1" cellpadding="0" width="100%">
					<tr>
						<td align="right" valign="top"><b><font size="2">Author(s):</font></b></td>
						<td align="left" valign="top">
						<textarea rows="2" name="Author5" cols="50"></textarea></td>
					</tr>
					<tr>
						<td align="right" valign="top"><b><font size="2">Year of publication:</font></b></td>
						<td align="left" valign="top">
						<input type="text" name="PubYr5" size="8"></td>
					</tr>
					<tr>
						<td align="right" valign="top"><b><font size="2">Title:</font></b></td>
						<td align="left" valign="top">
						<textarea rows="3" name="Title5" cols="50"></textarea></td>
					</tr>
					<tr>
						<td align="right" valign="top"><b><font size="2">Source:</font></b></td>
						<td align="left" valign="top">
						<textarea rows="2" name="Source5" cols="50"></textarea></td>
					</tr>
				</table>
				</td>
			</tr>
		</table>
		
		</td>
    </tr>
    <tr>
      <td></td>
      <td align="right" valign="top">&nbsp;</td>
      <td colspan="4">&nbsp;</td>
    </tr>
     <tr>
      <td></td>
      <td align="right" valign="top"><a name="Products"></a><font size="2"><b>
		Other W</b></font><b><font size="2">ork Products:<br>
		[e.g., guidelines, brochures]<br>
		(Maximum 100 words)<br>
		<a href="#top">Back to the top</a></font></b></td>
      <td colspan="4"><textarea rows="5" name="Products" cols="70"></textarea></td>
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      <td></td>
      <td align="right" valign="top"><a name="Work"></a><b><font size="2">Work in Progress:<br>
		(Maximum 100 words)<br>
		<a href="#top">Back to the top</a></font></b></td>
      <td colspan="4"><textarea rows="5" name="Works" cols="70"></textarea></td>
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      <td align="right" valign="top"></td>
      <td colspan="4"></td>
    </tr>
    <tr>
      <td></td>
      <td align="right" valign="top"><a name="Mentorship"></a><b><font size="2">
		Ability to Provide Mentorship and 
		Advice:<br>
		(Maximum 100 words)<br>
		<a href="#top">Back to the top</a></font></b></td>
      <td colspan="4"><textarea rows="5" name="Mentor" cols="70"></textarea></td>
    </tr>
    <tr>
      <td></td>
      <td align="right" valign="top">&nbsp;</td>
      <td colspan="3">
      &nbsp;</td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right" valign="top"><a name="SMA"></a><b><font size="2">Membership in SMA Special Interest Groups:<br>
		(if relevant)<br>
		<a href="#top">Back to the top</a></font></b></td>
      <td colspan="3">
      <table border="0" cellspacing="1" width="100%" id="table2">
        <tr>
          <td align="right" valign="top"><input type="checkbox" name="MASA" value="X"></td>
          <td align="left" valign="top" width="100%">
          <b>
          <a target="_blank" href="http://www.medanthro.net/research/student/index.html">
          <font size="2">Medical Anthropology Students Association (MASA)</font></a></b></td>
        </tr>
        <tr>
          <td align="right" valign="top"><input type="checkbox" name="AARG" value="X"></td>
          <td align="left" valign="top" width="100%"><b><a href="http://puffin.creighton.edu/aarg/">
          <font size="2">AIDS and Anthropology 
          Research Group</font></a></b></td>
        </tr>
        <tr>
          <td align="right" valign="top"><input type="checkbox" name="ADSG" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Alcohol and Drug Study Group</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top"><input type="checkbox" name="BIG" value="X"></td>
          <td align="left" valign="top" width="100%">
          <b>
          <a target="_blank" href="http://www.meddean.luc.edu/depts/bioethics/resources/anthro_BIG.htm">
          <font size="2">Bioethics Interest Group</font></a></b></td>
        </tr>
        <tr>
          <td align="right" valign="top"><input type="checkbox" name="CAMIM" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">
			<a href="http://fp.arizona.edu/smacamgroup/">Complementary and Alternative Medicine (CAM) 
			and Integrative Medicine (IM) Group</a></font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top"><input type="checkbox" name="CAMA" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">
          <a target="_blank" href="http://www.medanthro.net/research/cama/index.html">Clinically Applied Medical Anthropology 
          (CAMA)</a></font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top"><input type="checkbox" name="CAR" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">
          <a target="_top" href="http://www.geocities.com/anthrorepro/">Council on Anthropology and Reproduction</a></font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top"><input type="checkbox" name="CICH" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">
          <a target="_blank" href="http://medanthro.net/research/cich/index.html">Council on Infant and Child Health &amp; Welfare</a></font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top"><input type="checkbox" name="CONAA" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">
          <a target="_blank" href="http://www.conaa.org/">Council on Nursing and Anthropology</a></font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">&nbsp;</td>
          <td align="left" valign="top" width="100%"><b><font size="2">
          Critical Anthropology of Health Caucus (<a href="#CA">seen below)</a></font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top"><input type="checkbox" name="DR" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">
          <a target="_blank" href="http://www.medanthro.net/research/disability/index.html">Disability Research Interest Group</a></font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top"><input type="checkbox" name="GHEDCA" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">
          <a target="_blank" href="http://www.medanthro.net/research/globalhealth/index.html">Global Health and Emerging Diseases Study Group</a>/<a target="_blank" href="http://www.medanthro.net/research/cah/index.html">Critical Anthropology of Health Caucus</a> 
          (merged at 2006 meeting)<a name="CA"></a></font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top"><input type="checkbox" name="PSG" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">
          <a target="_blank" href="http://www.medanthro.net/research/pharm/index.html">Pharmaceutical Studies Group</a></font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top"><input type="checkbox" name="STM" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font SIZE="2">Science, 
			Technology, and Medicine (STM)</font></b></td>
        </tr>
        </table>
      </td>
      <td></td>
    </tr>
    <tr>
      <td></td>
      <td align="right" valign="top">&nbsp;</td>
      <td colspan="3">
      &nbsp;</td>
      <td></td>
    </tr>
	<tr>
      <td></td>
      <td align="right" valign="top"><a name="AAA"></a><b><font size="2">Memberships in AAA 
		Sections:<br>
		(if relevant)<br>
		<a href="#top">Back to the top</a></font></b></td>
      <td colspan="3">
      <table border="0" cellspacing="1" width="100%" id="table27">
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="AES" value="X"></td>
          <td align="left" valign="top" width="100%">
          <b>
          <font size="2">American Ethnological Society</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="eAnth" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Anthropology 
			and Environment Section</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="Arch" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Archaeology 
			Division</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="African" value="X"></td>
          <td align="left" valign="top" width="100%">
          <b>
          <font size="2">Association for Africanist Anthropology</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="Feminist" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Association 
			for Feminist Anthropology</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="APLA" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Association 
			for Political and Legal Anthropology</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="ABA" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Association 
			of Black Anthropologists</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="ALLA" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Association 
			of Latina and Latino Anthropologists</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="Senior" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Association 
			of Senior Anthropologists</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="BAS" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Biological 
			Anthropology Section</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="Central" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Central 
			States Anthropological Society</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="Museum" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Council for 
			Museum Anthropology</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="Education" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Council on 
			Anthropology and Education</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="CNutrition" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Council on 
			Nutritional Anthropology (<a href="#Food">See Society for the Anthropology of Food 
			and Nutrition below</a>)</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="Agriculture" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Culture and 
			Agriculture</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="EAStudies" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">East Asian 
			Studies in Anthropology Section (<a href="#EASociety">See Society for East Asian 
			Anthropology below</a>)</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="Evol" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Evolutionary 
			Anthropology Society</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="General" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">General 
			Anthropology Division</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="MidEast" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Middle East 
			Section</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="NAPA" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">National 
			Association for the Practice of Anthropology</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="Student" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">National 
			Association of Student Anthropologists</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="SACC" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Society for 
			Anthropology in Community Colleges</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="SCA" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Society for 
			Cultural Anthropology</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="EASociety" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Society for 
			East Asian Anthropology <a name="EASociety"></a></font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="Humanist" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Society for 
			Humanistic Anthropology</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="SLACA" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Society for 
			Latin American and Caribbean Anthropology</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="Linguistic">
			<input type="checkbox" name="SocLing" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Society for 
			Linguistic Anthropology</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="SMA" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Society for 
			Medical Anthropology</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="Psych" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Society for 
			Psychological Anthropology</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="Conscious" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Society for 
			the Anthropology of Consciousness</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="Europe" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Society for 
			the Anthropology of Europe</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="SocFood" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Society for 
			the Anthropology of Food and Nutrition <a name="Food"></a></font>
			</b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="NAmerica" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Society for 
			the Anthropology of North America</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="Religion" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Society for 
			the Anthropology of Religion</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="Work" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Society for 
			the Anthropology of Work</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="UNTGlobal" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Society for 
			Urban, National and Transnational/Global Anthropology</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="Visual" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Society for 
			Visual Anthropology</font></b></td>
        </tr>
        <tr>
          <td align="right" valign="top">
			<input type="checkbox" name="SLGA" value="X"></td>
          <td align="left" valign="top" width="100%"><b><font size="2">Society of 
			Lesbian and Gay Anthropologists -- 
		<a href="#top">Back to the top</a></font></b></td>
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